Kocher Debre Semelaigne syndrome: regression of pesudohypertrophy of muscles on thyroxine
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چکیده
Break dancing was at its peak of popularity in the 1980s, but evidently is still part of today’s youth culture. There have been several reports of injuries associated with this activity, although none recently. While mainly of an orthopaedic nature, the injuries reported are quite varied. This is a report of a previously fit and healthy 16 year old non-smoking young man who was 5 foot 5 inches tall. He developed a right sided pneumothorax during an evening spent break dancing. He ignored the discomfort for a few days, and then after a visit to his general practitioner, a chest x ray confirmed the diagnosis. He required an intercostal drain for 2 days before resolution. Six months later, while again break dancing, he developed another pneumothorax, this time on the left side. Again he ignored it for a few days before consutling his GP. On this occasion, it was treated conservatively and resolved after 2 weeks without a drain, at which stage he was referred to our centre. Examination and lung function were normal and a CT chest scan revealed tiny subpleural bullae at the apex of the left lung. He was advised to avoid break dancing, although the chance of adherence to this advice was small. Two months later he had a further recurrence on the left side (during sleep) which was treated conservatively and resolved after 2 weeks. He then underwent a left thoracotomy (which revealed multiple bullae up to 1 cm diameter over the surface of the lung) and a pleurectomy from which he made a good recovery. To my knowledge this is the first report of a spontaneous pneumothorax associated with any form of dancing. Presumably lying on his back with his legs fully flexed increased his abdominal pressure, and possibly combined with a Valsalva manouevre, this was enough to rupture one of the bullae. Although it was the presence of bullae that was responsible for the pneumothoraces, the risk (albeit small) of pneumothorax should now be added to the list of conditions associated with break dancing.
منابع مشابه
Kocher debre semelaigne syndrome: a rare case report with orofacial manifestations.
Kocher Debre Semelaigne Syndrome is a rare syndrome with clinical manifestation of hypothyroidism associated with pseudomuscular hypertrophy. Very few cases have been reported on kocher-debre semelaigne syndrome in the literature with the incidence reported to be less than 10%. As per our knowledge; until now, only one case of oro-facial manifestations has been reported. Here we report one such...
متن کاملKocher Debre Semelaigne syndrome (case report).
BACKGROUND Kocher-Debre-Semelaigne (KDS) syndrome is a myopathy of hypothyroidism associated with pseudohypertrophy in infancy or childhood. There are few reported cases of KDS syndrome in the literature. STUDY DESIGN We present a 5-year-old boy with poor growth and delayed dental and motor development. There was no family history. On examination he had coarse facies, large protruding tongue,...
متن کاملKocher Debre Semelaigne syndrome and associated orofacial aspects: report of a case.
Myopathy and muscular pseudohypertrophy associated with severe congenital hypothyroidism has been described as Kocher Debre Semelaigne syndrome, which is a rare disorder with only a few previously published reports. However, none of these reports have described the orofacial aspects of this syndrome. Here we report one such case, which may provide valuable information to specialists in oral hea...
متن کاملKocher-Debre-Semelaigne Syndrome: Hypothyroid Muscular Pseudohypertrophy—A Rare Report of Two Cases
Kocher-Debre-Semelaigne syndrome (KDSS) is a rare association of muscular pseudohypertrophy and long-standing moderate-to-severe hypothyroidism in the pediatric age group. It may be confused with primary muscle disorders, lest one is cautious enough to investigate for hypothyroidism. The striking clinical features, availability of a simple treatment and a good prognosis for the condition makes ...
متن کاملKocher Debre Semelaigne syndrome: regression of pesudohypertrophy of muscles on thyroxine
Break dancing was at its peak of popularity in the 1980s, but evidently is still part of today’s youth culture. There have been several reports of injuries associated with this activity, although none recently. While mainly of an orthopaedic nature, the injuries reported are quite varied. This is a report of a previously fit and healthy 16 year old non-smoking young man who was 5 foot 5 inches ...
متن کاملKocher Debre Semelaigne syndrome: regression of pesudohypertrophy of muscles on thyroxine.
Break dancing was at its peak of popularity in the 1980s, but evidently is still part of today’s youth culture. There have been several reports of injuries associated with this activity, although none recently. While mainly of an orthopaedic nature, the injuries reported are quite varied. This is a report of a previously fit and healthy 16 year old non-smoking young man who was 5 foot 5 inches ...
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